TAYLOR THELEN (NPI# 1548552516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548552516 |
| Entity Type | Individual |
| Full Name | TAYLOR THELEN |
| Credential | D.O. |
| Practice Address |
1005 S Us Highway 27 Suite 100 Saint Johns MI 48879-2423 |
| Practice Telephone | 9892243000 |
| Practice Fax Number | 9892241424 |
| Mailing Telephone | 9892243000 |
| Mailing Fax Number | 9892241424 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2016-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101019134 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314595 | Taylor Thelen | Social Worker | 2100 Hemmeter Rd, Saginaw, MI 48603-3944 | 2019-06-12 |
| Street Address |
1005 S US HIGHWAY 27 SUITE 100 |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639115165 | Maria A Thelen | Physician Assistant | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2006-06-22 |
| 1912352915 | Erin M Griffith | Nurse Practitioner | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2016-04-27 |
| 1275991937 | Justin Allen Morris | Physician Assistant | 1005 S Us Highway 27, Saint Johns, MI 48879-2423 | 2016-02-09 |
| 1588914691 | Bryanna Ruth Weber | Dietitian, Registered | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2012-09-17 |
| 1598908261 | Lois M Rodgers | Physical Therapist | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2009-04-10 |
| 1770750101 | Kristine Ann Tuchek | Physician Assistant | 1005 S Us Highway 27, Suite 200, Saint Johns, MI 48879-2423 | 2008-05-14 |
| 1073543666 | Andrew W Messenger | Family Medicine | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2006-07-03 |
| 1902835309 | Lars P Andersen Jr. | Family Medicine | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730560541 | Sleepy Hollow Health Care Services Pllc | Family Medicine | 1212 Lincolnshire Dr, Saint Johns, MI 48879-2472 | 2015-06-17 |
| 1477702744 | Sheila Gendich M D Plc | Family Medicine | 1207 N Us Highway 27, Saint Johns, MI 48879-1139 | 2008-09-11 |
| 1568586212 | Richie P Bast Md Incorporated | Family Medicine | 110 E. 1st South, Saint Johns, AZ 85936 | 2007-03-19 |
| 1619930674 | Steve Ralph Lasater | Family Medicine | 1055 S Us Highway 27, Saint Johns, MI 48879-2437 | 2006-04-10 |
| 1255305892 | Sallyann L Pantin | Family Medicine | 550 Durbin Pavilion Dr Ste G101, Saint Johns, FL 32259-4135 | 2006-02-13 |
| 1073585444 | Gregory A Holzhei | Family Medicine | 901 S Oakland St, Suite 204, Saint Johns, MI 48879-2200 | 2006-02-01 |
| 1649256587 | Richie Patterson Bast | Family Medicine | 110 E. 1st South Street, Saint Johns, AZ 85936-2910 | 2005-12-22 |
| 1144217308 | Troy Ford Borema | Family Medicine | 2001 County Road 210 W Ste 101, Saint Johns, FL 32259 | 2005-10-03 |
| 1861486938 | Clinton County Medical Center PC | Family Medicine | 1055 S Us 27, Saint Johns, MI 48879-2437 | 2005-09-06 |
| 1558924035 | Baptist Primary Care Inc | Family Medicine | 550 Durbin Pavilion Dr Ste G101, Saint Johns, FL 32259-4116 | 2019-04-19 |
| Find all providers in SAINT JOHNS | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
Please comment or provide details below to improve the information on TAYLOR THELEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.